Date : 00.00.00
Name of the Patient : Abc Xyzana lmn / F / 55 yrs.
Referred by : Dr. Abc Xyzchale.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O vomiting with giddiness (8 days back) and retention of urine with inability to walk and speak since 10 days.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR coronal images.
There are small bright foci on the proton, T2 Weighted and FLAIR images within the white matter in the frontal lobes bilaterally. These are iso to hypointense to normal white matter on the T1 Weighted images and are most likely ischemic in etiology.
A lacune (iso to hyperintense to CSF) is seen within the pons on the right side.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the ventricular system.
Hyperintense signal on all the pulse sequences is seen within the sigmoid and transverse sinuses on the left side and this may represent slow flow.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Inflammatory changes are noted within both the maxillary sinuses.
The MRI features are suggestive of :
1. Foci of altered signal within the frontal lobes bilaterally
is most likely ischemic in etiology.
2. A lacune within the pons on the right side.